Individual
FARZANEH AGHDASSI SOROND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD PHD
Contact information
Practice address
710 N LAKE SHORE DR, SUITE 1116, CHICAGO, IL 60611-3006
(312) 503-3963
(312) 503-3950
Mailing address
680 N LAKE SHORE DR, SUITE# 1000, CHICAGO, IL 60611-4546
(312) 695-9797
(312) 695-6594
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Primary
036.138715
IL
2084N0400X
Neurology Physician
036138715
IL
Other
Enumeration date
04/28/2006
Last updated
12/07/2016
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